Individual
LISA PROFERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
605 N 5TH AVE, ANN ARBOR, MI 48104-1000
(844) 776-5888
Mailing address
605 N 5TH AVE, ANN ARBOR, MI 48104-1000
(844) 776-5888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301054371
MI
Other
Enumeration date
08/18/2006
Last updated
07/31/2023
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